DR. BRUCE JOSEPH SIEDLECKI (NPI# 1285628156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285628156 |
| Entity Type | Individual |
| Full Name | DR. BRUCE JOSEPH SIEDLECKI |
| Credential | M.D. |
| Practice Address |
Mtn.home Aif Force Base Mdos Mtn. Home ID 83647 |
| Mailing Address |
1050 Nw Bluegrass Cir Mtn Home ID 83647-1544 |
| Practice Telephone | 2088287567 |
| Mailing Telephone | 2088287567 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD25309 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
MTN.HOME AIF FORCE BASE MDOS |
| City | MTN. HOME |
| State | ID |
| Zip Code | 83647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1295728897 | Scott Alan Baldridge | Family Medicine | 365 Mckenna Dr, Mountain Home, ID 83647 | 2005-08-30 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609222355 | Brennan Anderson | Obstetrics & Gynecology | 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 | 2016-05-12 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1902179914 | Gary Gregerson Md Pa | Obstetrics & Gynecology | 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 | 2012-02-22 |
| 1073809729 | Morgan Ann Morton | Obstetrics & Gynecology | 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 | 2011-06-21 |
| 1972827582 | Carissa M Richardson | Obstetrics & Gynecology | 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 | 2010-03-25 |
| 1891932422 | Ihc Health Services Inc | Obstetrics & Gynecology | 1408 Pomerelle, Suite H, Burley, ID 83318-2682 | 2009-01-20 |
| 1457508947 | Gerald Elbert Mortimer | Obstetrics & Gynecology | 2095 Heather Ln, Ammon, ID 83406-6705 | 2008-08-26 |
| 1396914917 | Jason Oneal Parkinson | Obstetrics & Gynecology | 1408 Pomerelle Ave, Suite H, Burley, ID 83318-2067 | 2008-02-28 |
| 1811185184 | Teton Women's Health Center | Obstetrics & Gynecology | 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 | 2007-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.